Individual
SUNNY GHERE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1702 N BURNSIDE AVE, GONZALES, LA 70737-2141
(225) 647-8319
(225) 644-5213
Mailing address
1702 N BURNSIDE AVE, GONZALES, LA 70737-2141
(225) 647-8319
(225) 644-5213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06727
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2181319
—
LA
Enumeration date
02/21/2012
Last updated
04/16/2013
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